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Individual
STEFANIE DUNHAM MOUZANNAR
Active
Individual
STEFANIE DUNHAM MOUZANNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
717399
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP119821
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220565003
—
TX
01
—
220565004
CSHCN TPI
TX
Enumeration date
01/10/2011
Last updated
12/02/2020
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